Jerva Keberenge, RHIT,

Ahima-Approved ICD-**-CM/PCS Trainer

SUMMARY OF QUALIFICATIONS

I have over 22 years of Health Information Management Experience. My positions include:

- 3M 360 Encompass - CAC Coding and CDI Workforce Trainer.

- Coding Department Manager

- 100% Weekly - Quarterly and Yearly MS- DRG and APR DRG Auditing. Concurrent MS-DRG and APR DRG validating’s.

- Acute care Coding and independent Consulting’s in healthcare fields.

- Utilization Review Nurse for three years, during which I coordinated with Physicians for documentations, Inpatient Pre-Approval and Discharge Planning with Insurance Companies.

I am comfortable validating and coding ICD-9 and ICD-10, CABGs, MAZE procedures, general surgery and interventional radiology procedures, transplants; kidney, liver, lung, heart, bone marrow (stem cell), cornea, and other organs.

Coding Systems; 3M 360 Encompass (CAC), 3M Encoder plus, Wincoder, Codemaster, Ncoder+, Medicus, Cascade, Quantum, Quadramed and True code.

Abstracting Systems; Epic, Cerner, Mindscape, Pharmis, Chartstat, Meditech, HBOC/Star Navigator, HDM, Lastword, Envision and Healthquest

PROFESSIONAL EXPERIENCE

Consulting Companies:

3M, Health Information System – Atlanta, GA - Sep 2013 – May 2020

Harmony Healthcare – Tampa, FL - Nov 2012 – Dec 2019

-Internal Compliance Coding Auditor

Teksystems Global Services – Silver Spring, MD - Feb 2015 – Jul 2020

National Staffing Solutions – Winter Park, FL - Jan 2015 – Sep 2016

Woodham HIM Solutions – Tequesta, FL – Jan 2015 – Dec 2016

Medpartners Health Information Management, Tampa, FL - Sep 2013 – Dec 2014

Maxim Healthcare Services - Columbia, MD - Oct 2011 – Nov 2012

Kforce Healthcare – Tampa, FL - Oct 2010 – Oct 2011

North West Expert Coders – Seattle, WA – Jun 1999 – Jul 2005

Facilities previously worked at:

Regional West Medical Center, NE (182 Bed)

George Washington University, DC (385)

Bakersfield Heart Hospital, CA (47 Bed)

North Shore University Hospital, NY (788 Bed)

Barnes & Jewish Hospital, St Louis, MO (1200 Bed)

University Health Systems, San Antonio, TX (498 Bed)

Parkland Hospital, Dallas, TX (968 Bed)

Grand Strand Regional Hospital, Myrtle Beach, SC (219 Bed)

Kendall Regional Medical Center, Miami, FL (412 Bed)

Miami Children’s Hospital, Miami, FL (264 Bed)

Presbyterian Hospital Charlotte, NC (514 Bed)

Providence Health Systems (WA, AK and OR) – (1,242 Bed)

Richmond University Hospital, NY (200 Bed) – CMS-DRG / APR-DRG Validations

Mayo Clinic, (FL, AZ, MN)

Swedish Medical Center, WA (540 Bed)

Work Experience and Positions Held:

Implementation of 3M 360 Encompass - CAC Coding Workforce Trainer

• Plan and coordinate training in Computer-Assisted Coding (CAC) in the 360 Encompass system.

• Plan and coordinate training between Health Information Management (HIM) and Clinical Documentation Improvement (CDI) in the 360 Encompass Systems.

MS-DRG and APC Auditor / Validator

• Audits weekly, Quarterly, and yearly IP accounts.

• Concurrent/Daily validates MS-DRG, Assignment of Principal diagnosis

• Concurrent/Daily validates special accounts.

• Provides summaries of audited accounts for each ending period.

• Provides coding recommendations for inpatient, and outpatient, educations and overall feedbacks.

• Manages Supervisors Ques by reviewing special accounts and providing feedback to coders.

• Daily validated unbilled accounts for correct DRG assignments.

• Provided coding recommendations, coding educations and overall feedbacks on coded or pre-billed accounts.

Assigned ICD-9 diagnosis and procedures based on supporting documentations.

Encountered various; Trauma I, Cardiac, Oncology, Orthopedic, transplants and other complex cases.

Independent Consulting – Inpatient Coding Specialist

Assigned ICD-9 diagnosis based on supporting documentations to the correct DRGs.

Encountered various; Trauma I, Cardiac, Oncology, Orthopedic, transplants and other complex cases.

Validated correct CPT and ICD-9 codes based on documentation and charges.

Manager - Medical Coding and Compliance

• Coordinated application of auditing, coding, and billing guidelines

• Oversaw or monitored coding reviews and auditing of claims

• Collaborated with different departments within the organization to create and streamlined processes for reviewing claims and reinforcing a culture or correct coding and compliance.

• Analyzed DRG, MS-DRG and sequenced CPT codes adhered to payment adjustment rules.

• Provided training and support to coding and compliance staff.

•Modeled the direction of the team as related to development of claim processing software and business opportunities.

• Protected the financial integrity of the company by reviewing of clinical information associated with coding.

Utilization Management/Inpatient Coder

•Furnished the insurance companies with concurrent clinical information on patients.

•Performed retro reviews for insurance auditing.

•Ensured concurrent DRG assignment was done in a timely manner.

•Tabulated and provided clinical data to Quality Assurance group with regards to patient’s care and treatments.

• Assigned DRG based on supporting documentation.

• Participated in daily clinical rounding with physician, case manages and discharge planners.

Teaching

. Teacher in 4-8 grades in various schools.

Education / Certificates

• University of Washington, Seattle, Washington

Health Information Management

• Shoreline Community College, Seattle, Washington

Health Information Technology

.Kisii Teachers College, Kisii, Kenya

Teaching Certificate

CONTACT

Jerva Keberenge

4429 Waltham Ave

Tampa, FL 33634

Phone: 813-***-****

addov7@r.postjobfree.com

Contact this candidate